Individual provider Active NPI

Rebecca A O'Bryan, MD

  • Physical Medicine & Rehabilitation Physician
  • Indianapolis, IN
National Provider Identifier
1295900652
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
01072824A Issued in IN
Practice address
4141 Shore Drive
Indianapolis, IN 46254-2607
Phone
(317) 329-2000
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P2325 TX
Physical Medicine & Rehabilitation Physician 208100000X 01072824A IN Primary

Addresses

Primary practice location

4141 Shore Drive
Indianapolis, IN 46254-2607

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other identifiers 2

IdentifierTypeStateIssuer
305595601MedicaidTX
201180440MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ROBRYAN@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131102000145 IN Practitioner - Physical Medicine and Rehabilitation 5395992531 Reassigns benefits to 1 organization
I20220103000824 FL Practitioner - Physical Medicine and Rehabilitation 5395992531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 S Kanner Hwy
Suite 200
Stuart, FL 34994-4801
Phone (772) 288-5862

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01072824AINMDPhysical Medicine & Rehabilitation Physician
P2325TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
University Family Physicians, Inc. CurrentSince Jun 1, 2016 Accepting new patients
University Family Physicians, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

10050 SW Innovation Way
Ste 102
Port St Lucie, FL 34987
Phone (772) 288-5862

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

3801 S Kanner Hwy
Ste 200
Stuart, FL 34994
Phone (772) 223-4978

3801 S Kanner Hwy
Fl 2
Stuart, FL 34994
Phone (772) 223-4999

509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003

7216 Solutions Ctr
Chicago, IL 60677

1115 Ronald Reagan Pkwy
Ste 148
Avon, IN 46123
Phone (317) 328-6600

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

4141 Shore Dr
Indianapolis, IN 46254
Phone (317) 329-2000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: robryan@direct.iuhealth.org
  • Direct secure messaging: robryan2501034@direct.ccf.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1295900652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SHORE DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542607",
            "telephone_number": "317-329-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRYAN",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P2325",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01072824A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305595601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201180440",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ROBRYAN@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "4141 Shore Drive",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462542607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.